Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BUBBLE GUM KIDS DENTISTRY

NPI: 1225714157 · WARREN, MI 48092 · Pediatric Dentist · NPI assigned 06/26/2023

$30K
Total Medicaid Paid
1,042
Total Claims
923
Beneficiaries
9
Codes Billed
2023-11
First Month
2024-05
Last Month

Provider Details

Authorized OfficialPAUNDLAY, AMY (SR. VICE PRESIDENT OF OPERATIONS)
NPI Enumeration Date06/26/2023

Related Entities

Other providers sharing the same authorized official: PAUNDLAY, AMY

ProviderCityStateTotal Paid
FIRST IMPRESSIONS ORTHODONTICS FAIRFIELD CT $492K
BUBBLE GUM KIDS DENTISTRY SOUTHGATE MI $248K
BUBBLE GUM KIDS DENTISTRY CLINTON TWP CLINTON TOWNSHIP MI $164K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 200 $6K
2024 842 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 192 182 $9K
D1120 Prophylaxis - child 171 163 $7K
D1206 Topical application of fluoride varnish 192 182 $5K
D0220 Intraoral - periapical first radiographic image 169 157 $3K
D0272 Bitewings - two radiographic images 79 78 $2K
D1351 Sealant - per tooth 57 12 $1K
D0140 Limited oral evaluation - problem focused 30 29 $1K
D0230 Intraoral - periapical each additional radiographic image 138 107 $1K
D0274 Bitewings - four radiographic images 14 13 $431.54